| Atul Aggarwal Md A Medical Corporation | |
|
2925 Sycamore Dr Suite 302b Simi Valley CA 93065-1207 | |
| (805) 583-5864 | |
| (805) 526-4471 |
| Full Name | Atul Aggarwal Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2925 Sycamore Dr, Simi Valley, California |
| Authorized Official Name and Position | Atul Aggarwal (PRESIDENT) |
| Authorized Official Contact | 8055835864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atul Aggarwal Md A Medical Corporation Po Box 77790 Corona CA 92877-0126 Ph: (951) 278-5590 | Atul Aggarwal Md A Medical Corporation 2925 Sycamore Dr Suite 302b Simi Valley CA 93065-1207 Ph: (805) 583-5864 |
| NPI Number | 1457624124 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 3870751746 |
|---|---|
| Medicare Enrollment ID | O20120223000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457624124 | NPI | - | NPPES |
| 00A372250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A37225 (California) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | A37225 (California) | Secondary |
| Provider Name | Atul Aggarwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275506859 PECOS PAC ID: 0749448629 Enrollment ID: I20120223000309 |
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